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Nursing homeFAID #11993

Life Care Center of Gray

791 OLD GRAY STATION ROAD, GRAY, TN, 37615

(423) 477-7146

lcca.com

133 licensed beds

★★★★★1/5CMS Five-Star overall1/5 health inspections4/5 staffing4/5 quality measuresSource: CMS Care Compare

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Photo via Google · Life Care Center of Gray

Address

791 Old Gray Station Road

Gray, TN 37615

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Public record summary

What we can show you for free.

Bed capacity

133

CMS facility ID

445479

Care type

Nursing home

County

Washington

Facility name

Life Care Center of Gray

Street address

791 OLD GRAY STATION ROAD

City / state / ZIP

Gray, TN 37615

Phone

(423) 477-7146

Website

lcca.com

About this facility — Life Care Center of Gray

Life Care Center of Gray is a Medicare/Medicaid-certified skilled nursing facility in Gray, Tennessee. It is licensed for 133 beds — above the median for skilled nursing facilities in Tennessee (114 beds).

It is one of 1 senior care facility in Gray and 303 skilled nursing facilities across Tennessee. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Life Care Center of Gray 22 times across 9 inspections in the last three years, including 2 food-safety citations, and CMS has imposed $10,039 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Life Care Centers of America

Ownership type

For profit - Corporation

Registered owners & officers

Swanker, Richard

Direct owner · Officer — 25% stake — since 2006

Cross, Cindy

Officer — since 2004

Lee, Ashley

Managing employee — since 2009

Life Care Centers of America, Inc.

Operational control — since 2005

Preston, Forrest

Officer — since 2004

Thurmond, Joan

Officer — since 2004

Regulatory standing

Federal court records

20 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

2005-04-24

CMS overall rating

1 of 5 stars

Health deficiencies

6 at the last standard inspection

Federal fines

$10,039 total

Last standard inspection

2023-09-19

Nurse staffing

3.4 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$337 per day (≈ $10,240/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

67% Medicaid · 7% Medicare · 26% private/other

Occupancy

53% (fiscal year 2023)

Vs. state median

8% below the TN median of $367/day — full state cost breakdown

Services & coverage

Licensed beds

133

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Daily Open 24 hours

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.

2024-06-20Health inspectionComplaint-triggered1 citation

F-0550

D · No harm foundFrom a complaint

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-07-12

2024-04-12Health inspectionComplaint-triggered5 citations

F-0603

J · Immediate jeopardyFrom a complaint

Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

Corrected 2024-05-12

F-0609

J · Immediate jeopardyFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-05-12

F-0610

J · Immediate jeopardyFrom a complaint

Respond appropriately to all alleged violations.

Corrected 2024-05-12

F-0656

D · No harm foundFrom a complaint

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-05-12

F-0675

J · Immediate jeopardyFrom a complaint

Honor each resident's preferences, choices, values and beliefs.

Corrected 2024-05-12

5 earlier / fire-safety inspections (16 citations)

2023-09-19Health inspectionComplaint-triggered6 citations

F-0584

D · No harm foundFrom a complaint

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2023-11-03

F-0644

D · No harm found

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2023-11-03

F-0758

D · No harm foundFrom a complaint

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2023-11-03

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-11-03

F-0814

D · No harm foundFood safety

Dispose of garbage and refuse properly.

Corrected 2023-11-03

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2023-11-03

2018-10-31Health inspection4 citations

F-0646

D · No harm found

Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

Corrected 2018-12-15

F-0744

D · No harm found

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Corrected 2018-12-15

F-0759

E · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2018-12-15

F-0921

C · No harm found

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2018-12-15

2023-09-19Fire-safety inspection2 citations

K-0511

D · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2023-11-03

K-0761

D · No harm found

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2023-11-03

2019-12-18Fire-safety inspection1 citation

K-0321

D · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2019-12-18

2018-10-31Fire-safety inspection3 citations

K-0211

D · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2018-12-15

K-0324

D · No harm found

Provide properly protected cooking facilities.

Corrected 2018-12-15

K-0918

D · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2018-12-15

Federal penalties

2024-04-12Fine$10,039

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 445479.

Visitor reviews

What people say on Google.

4.389 ratings on Google

★★★★★CN · 2026-04-06 · via Google
“My family and I are forever grateful to the Life Care Center of Gray for the unbelievable care and love they showed my father during his time there. Everyone, from the Administrator to the nursing staff, was absolutely amazing and treated us all as if we were family. Even the Maintenance guys always went above and beyond to make sure everything was perfect! If anyone is in need of long term care…”

★★★★★Chelsea Davis · 2026-07-28 · via Google
“Life Care Center of Gray offers a staff who shows compassion toward each resident. The therapy team works diligently to make sure progress is made toward each patient’s goals. I would recommend this facility for your loved ones!”

★★★★★Regina Diehl · 2025-02-07 · via Google
“Many times I have been faced with the need for a family member to go for short term rehab or long term care placement. 6 out of 6 times I have chosen Life Care Center of Gray. During every stay care and compassion were shown. At the end of life my aunt and grandfather were treated like family. They were treated with love and dignity. My mother in law remains at the facility and she is loved by…”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 22 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-08-31

Source

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered